TONI'S WESTSIDE REXALL INC
NPI: 1407901671
· PONCA CITY, OK 74601
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/25/2007
$300.46
Total Medicaid Paid
Provider Details
| Authorized Official | GIBSON, TONI (CHIEF PHARMACIST OWNER) |
| NPI Enumeration Date | 01/25/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$37.75 |
| 2019 |
42 |
$233.51 |
| 2020 |
13 |
$29.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
69 |
65 |
$300.46 |